Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Calcaneal Tuberosity Avulsion Fracture after Repair of Achilles Tendon Rupture: A Case Report

아킬레스건 파열 이후에 발생한 종골 결절의 견열골절: 증례 보고

  • Lee, Sung Hyun (Department of Orthopedic surgery, Wonkwang University School of Medicine) ;
  • Yi, Young (Department of Orthopaedic Surgery, Inje University Seoul Paik Hospital) ;
  • Kim, Saintpee (Department of Orthopedic surgery, Wonkwang University School of Medicine) ;
  • Kang, Hong Je (Department of Orthopedic surgery, Wonkwang University School of Medicine)
  • 이성현 (원광대학교 의과대학 정형외과학교실) ;
  • 이영 (인제대학교 서울백병원 정형외과) ;
  • 김성배 (원광대학교 의과대학 정형외과학교실) ;
  • 강홍제 (원광대학교 의과대학 정형외과학교실)
  • Received : 2019.04.03
  • Accepted : 2019.10.01
  • Published : 2019.12.15
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Abstract

In clinical practice, recurrent Achilles ruptures have been noted to occurr at the original ruptured site. However, reports of new developed fresh rupture of the Achilles tendon in other sites are is extremely rare. Our report is about one uncommon case of a traumatic calcaneal tuberosity avulsion fracture following augmented repair, which was performed using the Krackow locking loop technique. We performed open reduction and intra-osseous fixation using a suture anchor. This procedure was done through the primary longitudinal incision for the calcaneal avulsion fracture fragment. After 6 months of follow-up, our patient has achieved a complete functional recovery and he can normally perform daily and work-related tasks without pain.

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References

  1. Ajis A, Maffulli N. Management of acute tendo Achillis ruptures. Foot Ankle Surg. 2007;13:132-5. doi: 10.1016/j.fas.2007.02.002.
  2. Cetti R, Christensen SE, Ejsted R, Jensen NM, Jorgensen U. Operative versus nonoperative treatment of Achilles tendon rupture. A prospective randomized study and review of the literature. Am J Sports Med. 1993;21:791-9. doi: 10.1177/036354659302100606.
  3. Rushton PR, Singh AK, Deshmukh RG. A case of 'second rupture' following open repair of a ruptured Achilles tendon. Foot Ankle Surg. 2011;17:e17-9. doi: 10.1016/j.fas.2010.08.005.
  4. Garcia-German D, Rubio-Quevedo R, Lopez-Goenaga J, Martin-Guinea J. Achilles tendon recurrent rupture following surgical repair: report on two cases. Foot Ankle Surg. 2009;15:152-4. doi: 10.1016/j.fas.2008.09.001.
  5. Pierre-Jerome C, Moncayo V, Terk MR. MRI of the Achilles tendon: a comprehensive review of the anatomy, biomechanics, and imaging of overuse tendinopathies. Acta Radiol. 2010;51:438-54. doi: 10.3109/02841851003627809.
  6. Beavis RC, Rourke K, Court-Brown C. Avulsion fracture of the calcaneal tuberosity: a case report and literature review. Foot Ankle Int. 2008;29:863-6. doi: 10.3113/FAI.2008.0000.
  7. Pramod J, Nitin S, Vasant G, Badole CM, Pritish S. Avulsion fracture of calcaneal tuberosity and heel pad avulsion : tension band fixation as novel fixation. J Clin Diagn Res. 2012;6:738-9.
  8. Greenhagen RM, Highlander PD, Burns PR. Double row anchor fixation: a novel technique for a diabetic calanceal insufficiency avulsion fracture. J Foot Ankle Surg. 2012;51:123-7. doi: 10.1053/j.jfas.2011.09.006.
  9. Lui TH. Fixation of tendo Achilles avulsion fracture. Foot Ankle Surg. 2009;15:58-61. doi: 10.1016/j.fas.2008.06.004.